Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN F COLBERT (DIRECTOR OF PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2502 W HILLSBOROUGH AVE, TAMPA, FL 33614-6130
(813) 877-5881
(813) 870-1317
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS51127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105813400
—
FL
Enumeration date
10/19/2013
Last updated
10/19/2013
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